CHONG IL LEE D.D.S A PROFESSIONAL CORPORATION NPI 1164675195

NPI Information

NPI: 1164675195
Provider Name: CHONG IL LEE D.D.S A PROFESSIONAL CORPORATION
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1739 S EUCLID AVE STE A
ONTARIO, CA
ZIP 91762
Phone: (909) 983-9325
Get Directions

CHONG IL LEE D.D.S A PROFESSIONAL CORPORATION is a dental clinic center in Ontario, CA. CHONG IL LEE D.D.S A PROFESSIONAL CORPORATION NPI is 1164675195. The provider is registered as an organization entity type.

The provider's business location address is:

1739 S EUCLID AVE STE A
ONTARIO, CA
ZIP 91762-831
Phone: (909) 983-9325
Fax: (909) 467-9956

The provider's authorized official is Chong Il Lee .
The authorized official title is President and has the following contact phone number (909) 983-9325.

The enumeration date for this NPI number is 11/4/2008 and was last updated on 11/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	B25931	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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